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A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit.

Exhibits

For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.

A.

Advise child’s guardian about the use of sunscreen

B.

Educate the child about proper perineal hygiene

C.

Administer salicylic acid for pain and fever

D.

Ensure the child receives a maximum of 1,200 mL/day of fluid

E.

Administer sulfamethoxazole and trimethoprim

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}

  • Advise child’s guardian about the use of sunscreen: This intervention is contraindicated as it is not relevant to the child’s current condition of a UTI.
  • Educate the child about proper perineal hygiene: This intervention is anticipated as proper perineal hygiene is crucial in preventing recurrent UTIs.
  • Administer salicylic acid for pain and fever: This intervention is contraindicated as salicylic acid is not typically used for pain and fever management in children with UTIs. Acetaminophen or ibuprofen is more appropriate.
  • Ensure the child receives a maximum of 1,200 mL/day of fluid: This intervention is contraindicated as adequate fluid intake is essential for flushing out bacteria from the urinary tract. Restricting fluids is not appropriate.
  • Administer sulfamethoxazole and trimethoprim: This intervention is anticipated as sulfamethoxazole and trimethoprim are commonly prescribed antibiotics for treating UTIs in children.


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Related Questions

Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale

Commercially prepared formulas are designed to meet the nutritional needs of infants and are safe alternatives to breast milk or cow’s milk.

Choice B rationale

Soy milk is not recommended for infants under 1 year of age as it may not provide adequate nutrition.

Choice C rationale

Reinitiating breastfeeding may not be feasible if the mother has stopped breastfeeding for an extended period.

Choice D rationale

Warming goat’s milk does not address the nutritional inadequacies and potential health risks associated with feeding goat’s milk to infants.

Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale

Checking the newborn’s eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy. The primary concern during phototherapy is monitoring the newborn’s temperature and hydration status.

Choice B rationale

Placing mittens on the newborn’s hands is unrelated to the management of hyperbilirubinemia or phototherapy. Mittens are typically used to prevent the newborn from scratching themselves.

Choice C rationale

Monitoring the newborn’s temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights. This helps ensure the newborn maintains a stable body temperature.

Choice D rationale

Applying lotion to the newborn’s skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights. The lotion can act as a barrier, reducing the amount of light that reaches the skin.

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